Dr Ty Peterson, DPT | |
2011 Harrison Ave, Panama City, FL 32405-4545 | |
(850) 691-4188 | |
Not Available |
Full Name | Dr Ty Peterson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2011 Harrison Ave, Panama City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225406226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 30355 (Florida) | Secondary |
225100000X | Physical Therapist | PT30355 (Florida) | Primary |
Provider Name | Tallahassee Orthopedic Clinic Iii Pl |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194778050 PECOS PAC ID: 4284532755 Enrollment ID: O20031222000343 |
Mailing Address | Practice Location Address |
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Dr Ty Peterson, DPT 2011 Harrison Ave, Panama City, FL 32405-4545 Ph: (850) 691-4188 | Dr Ty Peterson, DPT 2011 Harrison Ave, Panama City, FL 32405-4545 Ph: (850) 691-4188 |
Dr. Vincent Stephen Gervera Iii, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2316 W 23rd St, Suite C, Panama City, FL 32405 Phone: 850-522-4770 | |
Advance Rehab & Home Health Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2316 W 23rd St Ste B, Panama City, FL 32405 Phone: 850-522-4770 Fax: 850-522-4760 | |
Loretta G Gambrell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 927 Grace Ave, Panama City, FL 32401 Phone: 850-769-5371 Fax: 850-872-9558 | |
Mr. Bryan Timothy Davis, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3420 E 15th St, Panama City, FL 32405 Phone: 850-215-8844 Fax: 850-215-6644 | |
Heffernan Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2335 State Ave Ste E, Panama City, FL 32405 Phone: 850-763-1992 Fax: 850-769-4808 | |
Pediatrics Plus, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 927 Grace Ave, Panama City, FL 32401 Phone: 850-769-5371 Fax: 850-872-9558 |